Plaquenil maculopathy guidelines

Discussion in 'Chloroquine Phosphate' started by Ivy, 01-Mar-2020.

  1. dik27 New Member

    Plaquenil maculopathy guidelines


    It succinctly makes the case for screening, and outlines the evidence for screening methods and parameters to know for screening. Because this information is pretty important (2), I wanted to highlight some of the key points made by the publication.

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    Hydroxychloroquine retinopathy. It is the prescribing doctor’s responsibility to ensure their patients are adequately screened and to act on the results of screening. A useful aide memoir for these guidelines for hydroxychloroquine is the 5 x 5 rule ideally keep dosage 5mg/kg/day and screen after five years of drug use. Contraindications include pre-existing maculopathy of the eye. Caution is advised in patients with renal or hepatic disease, with sensitivity to quinine, those with glucose-6-phosphate dehydrogenase deficiency, those with porphyria cutanea tarda which can be exacerbated by hydroxychloroquine and Plaquenil Dosage Malaria. Adults 400 mg 310 mg base once weekly on the same day of each week starting 2 weeks prior. Lupus Erythematosus. The recommended adult dosage is 200 to 400 mg 155 to 310 mg base daily. Rheumatoid Arthritis. The action of hydroxychloroquine is cumulative and may.

    Visual fields and SD-OCT are not necessary for baseline measurements unless there is pre-existing retinal pathology that needs to be documented. I’m sure that this may continue to change and evolve the more we learn; but here are my conclusions: A comprehensive ophthalmology exam should be performed within 1 year of starting hydroxychloroquine or chloroquine.

    Plaquenil maculopathy guidelines

    Update on recommendations for screening for., Hydroxychloroquine - IPNSM

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  3. My Take on New Ocular Screening Guidelines for Plaquenil By Sergio Schwartzman, MD 12 October 2016 A recent article published by the American Academy of Ophthalmology AAO presented new recommendations for screening of patients being managed with hydroxychloroquine HCQ.

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    The AAO guidelines defined high-risk patients by any one of the following criteria HCQ treatment 5 years in duration, HCQ dose 6.5 mg/kg/day, significant renal or hepatic disease, preexisting maculopathy due to other etiology, age 60 years, obesity, or cumulative HCQ consumption of 1000 g. Hydroxychloroquine HCQ, brand name Plaquenil is commonly used for the long-term 2 management of a variety of chronic rheumatic diseases including systemic lupus erythematosus 3 and rheumatoid arthritis. Hydroxychloroquine is an analogue to the much older drug chloroquine. Chloroquine was first used as an antimalaria drug. Hydroxychloroquine is most frequently used for the management of lupus and rheumatoid arthritis; however, it is now being applied to treatments in adjunctive cancer therapy.

     
  4. jeddz XenForo Moderator

    This makes perfect sense as LDN is known to cause a Herxheimer's reaction just like AP does. When starting hydroxychloroquine do symptoms feel. - LUPUS UK Plaquenil Reviews & Ratings Page 2 at Plaquenil - How long to take effect?
     
  5. belenochka New Member

    My doctor said 200mg twice a day, but I've been taking one, perhaps I should let her know? Taking Plaquenil for Rheumatoid Arthritis Plaquenil & Wine Alcohol and plaquenil? Anti-Inflammatories discussions.
     
  6. c770ultra XenForo Moderator

    What can Hydroxychloroquine Plaquenil do to my eyes? One of the most significant side effects of the drug is its possibility of causing eye problems resulting in blurred or decreased vision. The most common issue is damage to the retina. It can impair your color vision or damage the retinal cells particularly in the area right around the central vision.

    Rx Side Effects New Plaquenil Guidelines and More.